Virginia Dornik

NPI 1023422151 - Massage Therapist - 225700000X

NPI Details
NPI 1023422151
Gender Female
Enumeration Date 06/17/2014
Last Updated 06/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
40 S DELANY RD
GURNEE IL, 60031-3317, US
Phone (847) 980-6256
Fax
Business Location
40 S DELANY RD
GURNEE IL, 60031-3317, US
Phone (847) 980-6256
Fax
Toxanomy
Taxonomy Code 225700000X
License State Illinois
License Number 227000142
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According to our database, Virginia Dornik NPI is 1023422151, taxonomy code is 225700000X and license number is 227000142, license state is located at Illinois. Virginia Dornik physically located at 40 S Delany Rd, Gurnee IL, 60031-3317. NPI Number Virginia Dornik has the Individual type.

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1023422151 NPI number is provided on an as is basis without warranty of any kind. 1023422151 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Dornik are for informational purposes only.